It is estimated that over 9,000 LGBTQ+ Veterans have received VHA healthcare and the population continues to increase. LGBTQ+ Veterans are more than twice as likely to have indicators of housing instability in their VHA medical records compared with non-transgender Veterans. (Blosnich) U.S. Transgender Survey estimated that the rate of current homelessness was three times higher than among the general U.S. population.
The factors that may contribute to transgender people experiencing greater risk of housing instability include rejection by their families, discrimination, and unemployment
Transgender Veterans and Homelessness Infographic
Approved VHA LGBT Poster for Nationwide Display
LGBT Power & Control Wheel
Mental Health Disparities Among LGBT Veterans
Male Veterans: Gay and Bisexual Health Care
Female Veterans: Lesbian and Bisexual Health Care
Female Veterans: Transgender Female Health Care
Male Veterans: Transgender Male Health Care
VA LGBT Initiatives
Transgender Veterans and Homelessness
Center for Affiliated Learning: Offers free online trainings ranging from basics of LGBTQ patient-centered care to more specialized topics. CME/CEU credits may be available.
National LGBTQIA+ Health Education Center: Offers over 50 on-demand webinars in a variety of LGBT health topics, online learning module and a monthly live webinar series. They are all free of charge and offer CME/CEU credit.
Cultural Competence, LGBT, and Homelessness (February 21, 2018)
Care for Transgender and Gender Diverse Veterans in VHA: TMS Trainings for Care of Transgender and Gender Diverse Veterans available to all VA Providers: This series of brief trainings is designed to give VHA providers a foundational understanding of key components of care for transgender and gender diverse Veterans. This series is organized into brief (15-20 minute), topic-focused trainings so that providers can select exactly the topic they want to review at any given time.
Topics include providing gender counseling, diagnosing Gender Dysphoria, conducting mental health and medical evaluations for initiating gender affirming hormone therapy, prescribing feminizing and masculinizing hormone therapies, conducting mental health evaluations for surgical interventions, and writing safe passage letters and support letters to change identity documents. Each training has downloadable resources to support best clinical care.
*More trainings in this series are now available - see below.
Transgender Introduction* - This brief training is part of a series of programs on health care for transgender and gender diverse Veterans. This session introduces the overall training.
Transgender: Older Transgender and Gender Diverse Veteran Care - This brief training is part of a series of programs on health care for transgender and gender diverse Veterans. This session focuses on older transgender and gender diverse Veteran care.
Transgender: Psychotherapy for Gender Dysphoria - This brief training is part of a series of programs on health care for transgender and gender diverse Veterans. This session focuses on psychotherapy for gender dysphoria.
Transgender: Mental Health Evaluation for Gender Affirming Surgery - This brief training is part of a series of programs on health care for transgender and gender diverse Veterans. This session focuses on mental health evaluation for gender affirming surgery.
Transgender: Diagnosing Gender Dysphoria - This brief training is part of a series of programs on health care for transgender and gender-diverse Veterans. This session focuses on diagnosing gender dysphoria.
Transgender: Care for the Gender Non-Binary Veteran - This brief training is part of a series of programs on health care for transgender and gender diverse Veterans. This session focuses on care for the gender non-binary Veteran.
Intimate partner violence in female same-gender couples: An investigation of actor-partner correlates within the past year. Do QA, Knopp K, Scott SB. Psychol Trauma. 2021 May 6. doi: 10.1037/tra0001041
Health Behavior Differences Between Male and Female U.S. Military Personnel by Sexual Orientation: The Importance of Disaggregating Lesbian, Gay, and Bisexual Groups. Jeffery DD, Beymer MR, Mattiko MJ, Shell D. Mil Med. 2021 May 3;186(5-6):556-564. doi: 10.1093/milmed/usaa539
Validating Data-driven Methods to Identify Transgender Individuals in the Veterans Affairs. Wolfe HL, Reisman JI, Yoon S, Blosnich JR, Shipherd JC, Vimalananda VG, Rao SR, Hashemi L, Berlowitz D, Goodman M, Livingston NA, Reece SG, Jasuja GK. Am J Epidemiol. 2021 Apr 12:kwab102. doi: 10.1093/aje/kwab102
Veterans' Reported Comfort in Disclosing Sexual Orientation and Gender Identity. Ruben MA, Kauth MR, Meterko M, Norton AM, Matza AR, Shipherd JC. Med Care. 2021 Apr 1. doi: 10.1097/MLR.0000000000001543
Mental Health and Health Risk Behaviors of Active Duty Sexual Minority and Transgender Service Members in the United States Military. Holloway IW, Green D, Pickering C, Wu E, Tzen M, Goldbach JT, Castro CA. LGBT Health. 2021 Feb-Mar;8(2):152-161. doi: 10.1089/lgbt.2020.0031
Examining Health Care Mobility of Transgender Veterans Across the Veterans Health Administration. Wang KH, McAvay G, Warren A, Miller ML, Pho A, Blosnich JR, Brandt CA, Goulet JL. LGBT Health. 2021 Feb-Mar;8(2):143-151. doi: 10.1089/lgbt.2020.0152
Suicide, Homicide, and All-Cause Mortality Among Transgender and Cisgender Patients in the Veterans Health Administration.Boyer TL, Youk AO, Haas AP, Brown GR, Shipherd JC, Kauth MR, Jasuja GK, Blosnich JR. LGBT Health. 2021 Feb 5. doi: 10.1089/lgbt.2020.0235
Differences in Methods of Suicide Death Among Transgender and Nontransgender Patients in the Veterans Health Administration, 1999-2016. Blosnich JR, Boyer TL, Brown GR, Kauth MR, Shipherd JC. Med Care. 2021 Feb 1;59:S31-S35. doi: 10.1097/MLR.0000000000001384
Examining Health Care Mobility of Transgender Veterans Across the Veterans Health Administration. Wang KH, McAvay G, Warren A, Miller ML, Pho A, Blosnich JR, Brandt CA, Goulet JL. LGBT Health. 2021 Jan 28. doi: 10.1089/lgbt.2020.0152
Health Behavior Differences Between Male and Female U.S. Military Personnel by Sexual Orientation: The Importance of Disaggregating Lesbian, Gay, and Bisexual Groups. Jeffery DD, Beymer MR, Mattiko MJ, Shell D. Mil Med. 2020 Dec 11:usaa539. doi: 10.1093/milmed/usaa539
Evaluation of Suicide Mortality Among Sexual Minority US Veterans From 2000 to 2017. Lynch KE, Gatsby E, Viernes B, Schliep KC, Whitcomb BW, Alba PR, DuVall SL, Blosnich JR. JAMA Netw Open. 2020 Dec 1;3(12):e2031357. doi: 10.1001/jamanetworkopen.2020.31357
Sexual and Gender Minority Status and Firearms in the Household: Findings From the 2017 Behavioral Risk Factor Surveillance System Surveys, California and Texas. Blosnich JR, Clark KA, Mays VM, Cochran SD. Public Health Rep. 2020 Nov/Dec;135(6):778-784. doi: 10.1177/0033354920954789
Intimate Partner Violence in Transgender Populations: Systematic Review and Meta-analysis of Prevalence and Correlates. Peitzmeier SM, Malik M, Kattari SK, Marrow E, Stephenson R, Agénor M, Reisner SL. Am J Public Health. 2020 Sep;110(9):e1-e14. doi: 10.2105/AJPH.2020.305774
Are There Differences in Anti-Gay Beliefs Among U.S. Veterans and Non-Veterans? Results from the General Social Survey. Blosnich JR, Shipherd JC, Kauth MR. J Homosex. 2020 Aug 23;67(10):1401-1411. doi: 10.1080/00918369.2019.1591787
Experiences of Sexual Harassment, Stalking, and Sexual Assault During Military Service Among LGBT and Non-LGBT Service Members. Schuyler AC, Klemmer C, Mamey MR, Schrager SM, Goldbach JT, Holloway IW, Castro CA. J Trauma Stress. 2020 Mar 26. doi: 10.1002/jts.22506. [Epub ahead of print]
The Relationship Between Suicide-Related Exposure and Personal History of Suicidal Behavior in Transgender and Gender-Diverse Veterans. Tucker RP, Pardue-Bourgeois S, Snow A, Bradstreet M, Cerel J.Tucker RP, et al. LGBT Health. 2019 Oct;6(7):335-341. doi: 10.1089/lgbt.2019.0120
Addressing Diversity in PTSD Treatment: Clinical Considerations and Guidance for the Treatment of PTSD in LGBTQ Populations. Livingston NA, et al. Curr Treat Options Psychiatry. 2020. PMID: 32421099 Free PMC article. Review.
Estimate of Lesbian, Gay, Bisexual, and Transgender Youth Suicide Is Inflated. Clark KA, et al. J Adolesc Health. 2019. PMID: 31122510 No abstract available.
Gay, Bisexual, and Queer Men's Attitudes and Understandings of Intimate Partner Violence and Sexual Assault. Salter M, Robinson K, Ullman J, Denson N, Ovenden G, Noonan K, Bansel P, Huppatz K. J Interpers Violence. 2020 Jan 16:886260519898433. doi: 10.1177/0886260519898433. [Epub ahead of print]
Prescription opioid misuse among heterosexual versus lesbian, gay, and bisexual military veterans: Evidence from the 2015-2017 national survey of drug use and health. Anderson-Carpenter KD, Rutledge JD, Mitchell K. Drug Alcohol Depend. 2020 Feb 1;207:107794. doi: 10.1016/j.drugalcdep.2019.107794. Epub 2019 Dec 10.
Housing Instability Characteristics Among Transgender Veterans Cared for in the Veterans Health Administration, 2013-2016. Carter SP, Montgomery AE, Henderson ER, Ketterer B, Dichter M, Gordon AJ, Shipherd JC, Kauth MR, Blosnich JR. Am J Public Health. 2019 Oct;109(10):1413-1418. doi: 10.2105/AJPH.2019.305219. Epub 2019 Aug 15.
LGBTIQ+ Homelessness: A Review of the Literature. Fraser B, Pierse N, Chisholm E, Cook H., Int J Environ Res Public Health. 2019 Jul 26;16(15). pii: E2677. doi: 10.3390/ijerph16152677.
LGBT Spotlight Report (2019)
A Review of the Literature on LGBTQ Adults Who Experience Homelessness. Ecker J, Aubry T, Sylvestre J., J Homosex. 2019;66(3):297-323. doi: 10.1080/00918369.2017.1413277. Epub 2018 Jan 3. Review.
Prevalence of Military Sexual Trauma and Sexual Orientation Discrimination Among Lesbian, Gay, Bisexual, and Transgender Military Personnel: a Descriptive Study. Gurung S, Ventuneac A, Rendina HJ, Savarese E, Grov C, Parsons JT. Sex Res Social Policy. 2018 Mar;15(1):74-82. Epub 2017 Dec 4.
Mental and Physical Health among Homeless Sexual and Gender Minorities in a Major Urban US City. Flentje A, Leon A, Carrico A, Zheng D, Dilley J. J Urban Health. 2016 Dec;93(6):997-1009.
Mental Health and Medical Health Disparities in 5135 Transgender Veterans Receiving Healthcare in the Veterans Health Administration: A Case-Control Study. Brown GR, Jones KT. LGBT Health. 2016 Apr;3(2):122-31. doi: 10.1089/lgbt.2015.0058. Epub 2015 Dec 16.
Health Correlates of Criminal Justice Involvement in 4,793 Transgender Veterans. Brown GR, Jones KT. LGBT Health. 2015 Dec;2(4):297-305. doi: 10.1089/lgbt.2015.0052. Epub 2015 Aug 26.
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Internal Online VA Resources
American Veterans for Equal Rights: The Lesbian, Gay, Bisexual, Transgender & Allies Veteran's Service Organization
Federal Globe The GLCC sponsors activities for Lesbian, Gay, Bisexual, Transgender, Queer, Questioning, Ally, and Intersexed individuals in support of the broader community through a commitment to unity, equality, and diversity, supported by programs and events that encourage a healthy and vital Key West
Gay and Lesbian Alliance Against Defamation: The GLADD media organization equips and empowers advocates and storytellers to strengthen their media impact and accelerate acceptance for the LGBTQ community.
Human Rights Campaign: The Human Rights Campaign represents a force of more than 3 million members and supporters nationwide. As the largest national lesbian, gay, bisexual, transgender and queer civil rights organization, HRC envisions a world where LGBTQ people are ensured of their basic equal rights, and can be open, honest and safe at home, at work and in the community.
Knights Out (LGBT West Point Alumni): The LGBT Alumni of the US Military Academy
Lambda Legal Defense and Education Fund: Lambda Legal, a 501(c)(3) nonprofit, is a national organization committed to achieving full recognition of the civil rights of lesbians, gay men, bisexuals, transgender people and everyone living with HIV through impact litigation, education and public policy work.
National Center for Lesbian Rights: The National Center for Lesbian Rights (NCLR) was the first national LGBTQ legal organization founded by women and brings a fierce, longstanding commitment to racial and economic justice and our community's most vulnerable
National Center for Transgender Equality: Provides a powerful transgender advocacy presence in Washington, DC. And is composed of staff members supported by a nationwide community of transgender people, allies, and advocates with an extensive record of winning life-saving change for transgender people.
National Gay and Lesbian Task Force: The National LGBTQ Task Force advances full freedom, justice and equality for LGBTQ people.
Old Lesbians Organizing for Change: A national network of older Lesbians in our 60th year or older working to confront ageism in our communities and our country.
Out and Equal: Out & Equal Workplace Advocates is a nonprofit organization dedicated to achieving lesbian, gay, bisexual, transgender, and queer workplace equality. They partner with Fortune 1000 companies and government agencies to provide executive leadership development, comprehensive training and consultation, and professional networking opportunities that build inclusive and welcoming work environments.
Out Professionals: A national LGBTQ networking organization.
Out Serve: The Modern Military Association of America (MMAA) is the nation's largest organization of LGBTQ service members, military spouses, veterans, their families and allies. Formed through the merger of the American Military Partner Association and OutServe-SLDN, they are a united voice for the LBGTQ military and veteran community. They also provide free, direct legal services for the LGBTQ and HIV+ military and veteran community.
Parents and Friends of Lesbians and Gays: PFLAG is the first and largest organization for lesbian, gay, bisexual, transgender, and queer (LGBTQ+) people, their parents and families, and allies. With over 400 chapters and 200,000 members and supporters crossing multiple generations of families in major urban centers, small cities, and rural areas across America, PFLAG is committed to creating a world where diversity is celebrated and all people are respected, valued, and affirmed
Senior Action in a Gay Environment (SAGE): SAGE advocates for LGBT older people at the federal, state, and local levels.
Service Women's Action Network (SWAN): Swan's goal is to ensure all service women have access to the information, tools and support they need to reach their personal and professional goals during and following their years of service.
The American Military Partner Association: Formed through the merger of the American Military Partner Association and OutServe-SLDN, the Modern Military Association of America is the nation's largest non-profit organization for the LGBTQ military and veteran community. They are committed to education, advocacy and support for LGBTQ service members, veterans, military spouses, family members and allies.
Transgender American Veterans Association: A group formed to specifically discuss the various issues facing transgender veterans while working with VA medical facilities and for other health-related issues.
Transgender Law Center: Transgender Law Center (TLC) is the largest national trans-led organization advocating for a world in which all people are free to define themselves and their futures. Grounded in legal expertise and committed to racial justice, TLC employs a variety of community-driven strategies to keep transgender and gender nonconforming people alive, thriving, and fighting for liberation.
USNA OUT (UC Naval Academy Alumni): A group of over 400lesbian, gay, bisexual and transgender US Naval Academy Alumni and their supporters whose objective is to serve, support, and further enhance the United States, the Naval Service, the Naval Academy, and its members, regardless of sexual orientation or gender identity
The North West Network of Bi, Trans, Lesbian and Gay Survivors of Abuse: The NW Network provides support for survivors and resources to prevent and respond to intimate partner violence in the gay, lesbian, transgender, and bisexual communities through education, advocacy, and organizing.
Transgender awareness: Trans Student Educational Resources is an organization for contacting schools, getting information, and taking action. They supply trans resources and provide support for creating change in your school and beyond. They speak at conferences, train teachers, collaborate with other advocacy organizations, host a national trans youth activist summit, support trans-related events, provide leadership training for trans youth, host scholarships for trans students, publish materials about trans education, help create transgender policies, and promote trans representation in media.
External Link Disclaimer: This page contains links that will take you outside of the Department of Veterans Affairs website. VA does not endorse and is not responsible for the content of the linked websites.*To search the entire VA.gov site, please use the search bar in the upper right corner of the webpage